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Easy Online Forms

Rolland Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Health History Form - Optional

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Location

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Office Hours

Our Regular Schedule

Edinboro Office

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:30 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:30 pm

Friday:

By Appointment

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "I was constatnly getting bad kinks in my back that lasted all day. Headaches came on when the weather changed. After my roomate insisted I go to Dr. Rolland, I no longer get headaches or kinks in my back. I sleep better and am more flexible! I did not realize how much your back links to other health problems until visiting Rolland Chiropractic."
    Amy M. - Beaver, PA